Displaying 197121-197130 of 1611142 results.
ID:
197121
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2118741
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197122
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2000019
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197123
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1994362
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197124
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1442992
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
197125
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2000023
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197126
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2000027
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197127
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2000031
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197128
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1539248
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197129
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1300386
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197130
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
829989
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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